Kelly Price is Vice President and Chief of Healthcare Data Analytics at DataGen, a healthcare data analytics and policy firm. Kelly has worked in healthcare finance for more than 20 years, focused on helping healthcare leaders and decision makers understand the impact of payment policy and regulations on their organizations. She provides decision support and education to hospitals and health systems across the country to help them prepare for the shift to value-based payment. Kelly works with hospital associations in 47 states and eight multi-state systems on Medicare and Medicaid reimbursement issues.
Launched on April 1, 2016, the Comprehensive Care for Joint Replacement (CJR) model is the first mandatory bundled payment program from CMS. To ensure that they are getting the most from the initial CJR data feeds from CMS, hospitals must understand what can and cannot be measured, and take steps now to address any issues.
The Oncology Care Model is one of the most recent bundled payment programs announced by CMS, going into effect July 1. Participants will need a robust data analytics program in order to meet practice requirements, and achieve clinical and financial goals. Read on for tips to achieve data-driven success, and a simulation of what practice data will look like under the model.